<div class="row-content am-cf">
    <div class="row">
        <div class="am-u-sm-12 am-u-md-12 am-u-lg-12">
            <div class="widget am-cf">
                <form id="my-form" class="am-form tpl-form-line-form" enctype="multipart/form-data" method="post">
                    <div class="widget-body">
                        <div class="tips am-margin-bottom-sm am-u-sm-12">
                        {if $model['apply_status']['value']==10}
                            <div class="pre-warning"><p> 提示：资料审核中，有问题会给您电话联系</p></div>
                        {/if}
                        {if $model['apply_status']['value']==20}
                            <div class="pre-info"><p> 提示：资料验证中，请在您微信中完成实名验证</p></div>
                        {/if}
                        {if $model['apply_status']['value']==30}
                            <div class="pre-success"><p> 提示：申请已通过,您已注册成功</p></div>
                        {/if}
                        {if $model['apply_status']['value']==40}
                            <div class="pre-error">
                                <p> 提示：申请被驳回，请按要求修改后提交</p>
                                <p>驳回原因：{$model['reject']}</p>
                            </div>
                        {/if}
                        </div>
                        <fieldset>
                            <div class="widget-head am-cf">
                                <div class="widget-title am-fl">{$model['apply_mode']['text']}</div>
                            </div>
                            {if $model['apply_mode']['value'] == 10 OR $model['apply_mode']['value'] == 30}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label"> {$model['apply_mode']['text']}(小程序ID) </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="<?= $model['applet_id'] ?>" disabled>
                                </div>
                            </div>
                            {/if}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">营业执照 </label>
                                <div class="am-u-sm-9">
                                    <div class="apply-img">
                                        <a href="{$model['details']['license_copy']['url']}" target="_blank">
                                            <img src="{$model['details']['license_copy']['url']}" />
                                        </a>
                                    </div>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">公司名称 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" 
                                    name="data[details][merchant_name]" value="{$model['details']['merchant_name']}" 
                                    {$model['apply_status']['value']==40?'':'disabled'} required>
                                    <small>营业执照上面的名称</small>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">统一社会信用代码 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" 
                                    name="data[details][license_number]" value="{$model['details']['license_number']}" 
                                    {$model['apply_status']['value']==40?'':'disabled'} required>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">身份证 </label>
                                <div class="am-u-sm-9">
                                    <div class="apply-img">
                                        <a href="{$model['details']['id_card_copy']['url']}" target="_blank">
                                            <img src="{$model['details']['id_card_copy']['url']}" />
                                        </a>
                                    </div>
                                    <div class="apply-img">
                                        <a href="{$model['details']['id_card_national']['url']}" target="_blank">
                                            <img src="{$model['details']['id_card_national']['url']}" />
                                        </a>
                                    </div>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require"> 证件姓名 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" 
                                    name="data[details][id_card_name]" value="{$model['details']['id_card_name']}" 
                                    {$model['apply_status']['value']==40?'':'disabled'} required>
                                    <small>身份证上面的姓名</small>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require"> 证件号码 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" 
                                    name="data[details][id_card_number]" value="{$model['details']['id_card_number']}" 
                                    {$model['apply_status']['value']==40?'':'disabled'} required>
                                </div>
                            </div>
                            {if $model['apply_mode']['value'] == 30}
                            {if !empty($model['details']['qualifications']['url'])}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">特殊资质 </label>
                                <div class="am-u-sm-9">
                                    <div class="apply-img">
                                        <a href="{$model['details']['qualifications']['url']}" target="_blank">
                                            <img src="{$model['details']['qualifications']['url']}" />
                                        </a>
                                    </div>
                                </div>
                            </div>
                            {/if}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">支付商户号 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['details']['mch_id']}" disabled>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">app_id </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['app_id']}" 
                                    name="data[app_id]" {$model['apply_status']['value']==40?'':'disabled'} required>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">开户银行</label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['details']['bank_name']}" 
                                     name="data[details][bank_name]" {$model['apply_status']['value']==40?'':'disabled'} required>
                                     <small>例如：xx银行xx市xx区xx县xx支行</small>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">银行账号</label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['details']['account_number']}" 
                                     name="data[details][account_number]" {$model['apply_status']['value']==40?'':'disabled'} required>
                                     <small>如营业执照类型为公司，必须填写公司公户账号。如为个体工商户，只需填写负责人私户账号</small>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">商户简称</label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['merchant_shortname']}" 
                                     name="data[merchant_shortname]" {$model['apply_status']['value']==40?'':'disabled'} required>
                                     <small>用户付款时显示的收款名称，如设置为门店名称或者小程序名称，例如：肯德基、河马科技</small>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require">电子邮箱</label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['details']['contact_email']}" 
                                     name="data[details][contact_email]" {$model['apply_status']['value']==40?'':'disabled'} required>
                                </div>
                            </div>
                            {/if}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require"> 手机号 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" 
                                    name="data[details][mobile_phone]" value="{$model['details']['mobile_phone']}" 
                                    {$model['apply_status']['value']==40?'':'disabled'} required>
                                </div>
                            </div>
                            {if $model['apply_mode']['value'] == 10 OR $model['apply_mode']['value'] == 20}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label form-require"> 微信号 </label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" 
                                    name="data[details][legal_persona_wechat]" value="{$model['details']['legal_persona_wechat']}" 
                                    {$model['apply_status']['value']==40?'':'disabled'} required>
                                    <small>不是绑定的手机号！请打开微信->我的->点击头像->查看微信号<br>
                                    微信必须实名认证，并与上面身份证姓名一致。</small>
                                </div>
                            </div>
                            {/if}
                            {if $model['apply_mode']['value'] == 40}
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">级别</label>
                                <div class="am-u-sm-9">
                                    <label class="am-radio-inline">
                                        <input type="radio" data-am-ucheck {$model['agent_mode']['value'] == 10?'checked':''} disabled> 县区
                                    </label>
                                    <label class="am-radio-inline">
                                        <input type="radio" data-am-ucheck {$model['agent_mode']['value'] == 20?'checked':''} disabled> 市级
                                    </label>
                                    <label class="am-radio-inline">
                                        <input type="radio" data-am-ucheck {$model['agent_mode']['value'] == 30?'checked':''} disabled> 省级
                                    </label>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <label class="am-u-sm-3 am-form-label">区域</label>
                                <div class="am-u-sm-9">
                                    <input type="text" class="tpl-form-input" value="{$model['province']}{$model['city']}{$model['district']}" disabled>
                                </div>
                            </div>
                            {/if}
                            {if $model['apply_status']['value']==40}
                            <div class="am-form-group">
                                <div class="am-u-sm-9 am-u-sm-push-3 am-margin-top-lg">
                                    <button type="submit" class="j-submit am-btn am-btn-secondary">提交</button>
                                </div>
                            </div>
                            {/if}
                        </fieldset>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>
<script>
    $(function () {

        $('#my-form').formPost();

    });
</script>
